This page is part of the CARIN Blue Button Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
Turtle Format: ValueSet-CARIN-BB-Adjudication-Category
Raw ttl
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:ValueSet; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "CARIN-BB-Adjudication-Category"]; fhir:Resource.meta [ fhir:Meta.versionId [ fhir:value "5" ]; fhir:Meta.lastUpdated [ fhir:value "2019-11-30T09:17:00.000+00:00"^^xsd:dateTime ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>CARIN Blue Button Claim Adjudication Category Value Set</h2><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html\"><code>http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-benefitPaymentStatusCode\">benefitPaymentStatusCode</a></td><td>Benefit payment status code</td><td>Benefit payment status code</td></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-paymentDenialCode\">paymentDenialCode</a></td><td>Payment denial code</td><td>Payment Denial Code</td></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-submittedamount\">submittedamount</a></td><td>submitted amount</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-allowedamount\">allowedamount</a></td><td>allowed amount</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-deductibleamount\">deductibleamount</a></td><td>deductible amount</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-coinsuranceamount\">coinsuranceamount</a></td><td>coinsurance amount</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-copayamount\">copayamount</a></td><td>copay amount</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-noncoveredamount\">noncoveredamount</a></td><td>noncovered amount</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-cobamount\">cobamount</a></td><td>cob amount</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-paymentamount\">paymentamount</a></td><td>payment amount</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-patientpayamount\">patientpayamount</a></td><td>patient pay amount</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-denialreason\">denialreason</a></td><td>payment denial reason</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-innetworkbenefitpaymentstatus\">innetworkbenefitpaymentstatus</a></td><td>in network benefit payment status</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-outofnetworkbenefitpaymentstatus\">outofnetworkbenefitpaymentstatus</a></td><td>out of network benefit payment status</td><td/></tr><tr><td><a href=\"CodeSystem-CARIN-BB-Adjudication-Category.html#CARIN-BB-Adjudication-Category-otherbenefitpaymentstatus\">otherbenefitpaymentstatus</a></td><td>other benefit payment status</td><td/></tr></table></li></ul></div>" ]; fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationcategory"]; fhir:ValueSet.version [ fhir:value "0.1.0"]; fhir:ValueSet.name [ fhir:value "CARINBBAdjudicationCategory"]; fhir:ValueSet.title [ fhir:value "CARIN Blue Button Claim Adjudication Category Value Set"]; fhir:ValueSet.status [ fhir:value "draft"]; fhir:ValueSet.date [ fhir:value "2019-12-23T19:40:59+00:00"^^xsd:dateTime]; fhir:ValueSet.compose [ fhir:ValueSet.compose.include [ fhir:index 0; fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory" ]; fhir:ValueSet.compose.include.concept [ fhir:index 0; fhir:ValueSet.compose.include.concept.code [ fhir:value "benefitPaymentStatusCode" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "Benefit payment status code" ] ], [ fhir:index 1; fhir:ValueSet.compose.include.concept.code [ fhir:value "paymentDenialCode" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "Payment denial code" ] ], [ fhir:index 2; fhir:ValueSet.compose.include.concept.code [ fhir:value "submittedamount" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "submitted amount" ] ], [ fhir:index 3; fhir:ValueSet.compose.include.concept.code [ fhir:value "allowedamount" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "allowed amount" ] ], [ fhir:index 4; fhir:ValueSet.compose.include.concept.code [ fhir:value "deductibleamount" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "deductible amount" ] ], [ fhir:index 5; fhir:ValueSet.compose.include.concept.code [ fhir:value "coinsuranceamount" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "coinsurance amount" ] ], [ fhir:index 6; fhir:ValueSet.compose.include.concept.code [ fhir:value "copayamount" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "copay amount" ] ], [ fhir:index 7; fhir:ValueSet.compose.include.concept.code [ fhir:value "noncoveredamount" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "noncovered amount" ] ], [ fhir:index 8; fhir:ValueSet.compose.include.concept.code [ fhir:value "cobamount" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "cob amount" ] ], [ fhir:index 9; fhir:ValueSet.compose.include.concept.code [ fhir:value "paymentamount" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "payment amount" ] ], [ fhir:index 10; fhir:ValueSet.compose.include.concept.code [ fhir:value "patientpayamount" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "patient pay amount" ] ], [ fhir:index 11; fhir:ValueSet.compose.include.concept.code [ fhir:value "denialreason" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "payment denial reason" ] ], [ fhir:index 12; fhir:ValueSet.compose.include.concept.code [ fhir:value "innetworkbenefitpaymentstatus" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "in network benefit payment status" ] ], [ fhir:index 13; fhir:ValueSet.compose.include.concept.code [ fhir:value "outofnetworkbenefitpaymentstatus" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "out of network benefit payment status" ] ], [ fhir:index 14; fhir:ValueSet.compose.include.concept.code [ fhir:value "otherbenefitpaymentstatus" ]; fhir:ValueSet.compose.include.concept.display [ fhir:value "other benefit payment status" ] ] ] ]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.